Jeremy Michael Hurford, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

2599 Issued in OK

Practice address

124 N 6TH St
Okeene, OK 73763-9135

Phone

(580) 833-4404

Fax

(580) 822-4403

NPI assigned

Nov 11, 2015

Last updated

Oct 28, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dynamic Wound Care LLCGroup PAC ID 0143674465, 17 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Okeene Municipal Hospital Hospital, Okeene, OK, CCN 371327

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jhurford157195@direct-ehr-ssmhc.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dynamic Wound Care LLC

  • Family Medicine Physician
  • Oklahoma City, OK
  • NPI 1598541427
  Medicare reassignment Care Compare group
• Okeene Municipal Hospital and Schallmo Authority

  dba Okeene Hospital Medical Clinic

  • Primary Care Clinic/Center
  • Okeene, OK
  • NPI 1053478024
  Medicare reassignment NPD
• Emergency Services of Oklahoma PC

  • Emergency Medicine Physician
  • Norman, OK
  • NPI 1215249891
  Medicare reassignment
• Mercy Oklahoma Ambulatory Services LLC

  • Urgent Care Clinic/Center
  • Moore, OK
  • NPI 1922509173
  Medicare reassignment
• Verdure Health Services

  • Family Medicine Physician
  • Irving, TX
  • NPI 1801495940
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Okeene Municipal Hospital and Schallmo Authority

  dba Okeene Municipal Hospital

  • Critical Access Hospital
  • Okeene, OK
  • NPI 1336142033
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1447200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603843200000",
    "number": "1669845772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 389",
            "city": "OKEENE",
            "state": "OK",
            "postal_code": "737630389",
            "telephone_number": "580-822-4404",
            "fax_number": "580-822-4403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 N 6TH ST",
            "city": "OKEENE",
            "state": "OK",
            "postal_code": "737639135",
            "telephone_number": "580-833-4404",
            "fax_number": "580-822-4403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HURFORD",
        "first_name": "JEREMY",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-11-11",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "2599",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "471025ZL9Z",
            "state": "OK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jhurford157195@direct-ehr-ssmhc.com",
            "affiliation": "N",
            "endpointDescription": "Okeene Municipal Hospital",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "jhurford157195@direct-ehr-ssmhc.com",
            "address_1": "207 E F St",
            "city": "Okeene",
            "state": "OK",
            "country_code": "US",
            "postal_code": "737639441",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "207 E F St",
            "city": "Okeene",
            "state": "OK",
            "country_code": "US",
            "postal_code": "737639441",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kirt Eugene Bierig, D.O.
• Cayci L Brickman, MD
• Kadree Ann Giblet
• Mason Ray Howe, MD
• James Sims MSN RN Arnp LLC
• Henry D Lagan, M.D.
• Luckie Drug LLC (Luckie Drug)
• Jim W Luckie, DPH.
• Okeene Dentistry & Braces

• Physician Assistant in Okeene, OK
• Providers in Okeene, OK by specialty
• Physician Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.